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Application Form Provisional Certificate Within Pakistan

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184 views2 pages

Application Form Provisional Certificate Within Pakistan

gf

Uploaded by

sunnybaloch0707
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(Within Pakistan)

E-43 (ii)

APPLICATION FORM FOR THE ISSUANCE OF PROVISIONAL CERTIFICATE

All the particulars required below should be legible and accurately filled by
the candidate in his own handwriting. Form complete in all respects would only be accepted.
The incomplete form would be returned to the candidate which must be resubmitted to this
office immediately after completion.

THIS OFFICE WILL NOT BE RESPONSIBLE FOR ANY DELAY IN A CASE


WHERE THE FORM IS NOT COMPLETE IN ALL RESPECTS
(READ CAREFULLY INSTRUCTIONS OVERLEAF)

1. Name of applicant in block letters __________________________________________


2. Father’s Name _________________________________________________________
3. Present Address________________________________________________________
4. Permanent Address _____________________________________________________
5. CNIC No. ____________________________________________________________
6. E-mail _________________________ Phone/Cell/Whatsapp #___________________
7. Nature of document required _____________________________________________
8. Regd. No. _______________ 9. Bank Challan No. ___________ Dated ___________
10. Record of Examinations Passed
(For Undergraduate Students)
Degree___________________ Faculty ________________ Major/Section __________
Year of passing ____________ Marks obtained ____________ CGPA ______________
(For Postgraduate Students)
Degree___________________ Faculty ________________ Major/Section ___________
Year of passing ____________ Marks obtained ____________ CGPA ______________

I solemnly declare that the facts mentioned in the application are correct

Signature of the Applicant

IF THE CERTIFICATE IS TO BE DESPATCHED,


ADDRESS MUST BE GIVEN HERE
__________________________________________________________________________

__________________________________________________________________________

Signature of the Applicant


- 2 -
INSTRUCTIONS
1. Application for certificate should be accompanied by the following documents:-
i- Certificate signed by Dean of the Faculty/Director of Institute/Principal College concerned.
ii- Attested copy of CNIC.

CERTIFICATE
[ To be signed by the Dean of Faculty/Director of Institute/Principal, College concerned]
1.______________________________________ hereby certify on the basis of my personal knowledge and on the evidence
produced before me that Mr./Miss/Mrs. ____________________________________________________ Son/Daughter of
_______________________________________ is the same person whose particulars given in this application form is the
same person who passed the ____________________________ Major ________________ Examinations in_________
_________________________ (year) from University of Agriculture, Faisalabad/College concerned. His/her particulars filled
in by the application are correct and his/her signature is attested.

Signature ____________________ ______________________ _____________________________


and office Tutor/Supervisor Chairman Dean/Director/Principal
Stamp

Dated ___________________

1. Clearance by the Fee Section ___________________________________________________________________

2. Clearance Certificate by the Head, Department of Library _____________________________________________

3. Clearance Certificate by the Hostel Warden ________________________________________________________

Rate of fee as approved by the Syndicate vide Notification No. B-1/110/2165/B&F dated 9-11-2018
& Endst. No.A-4/410/30305-370 dated 8-9-2022

i- Provisional Certificate 625/-

Note:-
Original CNIC/Passport/Driving License must be shown at the time of receiving
Provisional Certificate in person

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